Manager / Deputy Manager - Medical Quality

Max Healthcare; Ghaziabad District; Sur place; INR 350 000 - 550 000; Plein temps

Résumé du poste

Max Healthcare is seeking a Patient / Customer Care professional focused on quality processes and accreditation readiness. The role emphasizes NABH/NABH-related committee coordination, policy updates and performance indicators to enhance patient safety and care standards.

The position requires applying technical and professional knowledge to ensure compliance and continuous improvement across clinical areas and administrative functions in a hospital setting.

Responsabilités

• Coordinate NABH committees meetings as per the calendar.
• Review Minutes of Councils meetings and ensure effectiveness of committee meetings.
• Provide feedback to operations/clinical departments.
• Collation & submission of monthly reports & dashboards.
• Prepare action taken reports on various indicators.
• Annual updation of policies and manuals.
• Oversee DNB Accreditations, Surveillance and re-accreditations in various specialties.
• Support planning and implementation of accreditation requirements.
• Carry out routine audits of clinical areas/departments and provide feedback to departments.
• Support and implement Quality Improvement projects and closure of non-conformities.
• Ensure passive and active medical documents audits and SLA monitoring.
• Manage serious untoward incidents, complaints and promote patient safety.
• Dissemination, implementation and training of organization policies with regular audits.
• Develop, review and improve NABH performance indicators and collate CQI data with RCA & CAPA.
• Demonstrate professional and courteous behaviour to patients and co-workers.
• Operate within budget and prepare budgets for quality and infection control as required.

Description du poste

Patient / Customer Care

• To comply with the quality process & policies of the respective area.

Job Knowledge

• To demonstrate effective application of technical & professional knowledge.

Process Orientation / Documentation

• Coordination of NABH Committees meetings as per the calendar
• Review Minutes of Councils meetings.
• Ensure effectiveness of committee meetings.
• Provide feedback to operations/clinical departments.
• Collation & Submission of monthly reports & dashboard.
• Preparation of action taken reports on various indicator.
• Annual updation of policies and manuals
• Oversee DNB Accreditations, Surveillance and re-accreditations in various specialties.

Accreditations: NABH /JCI

• Support the planning and implementation of all requirements of accreditation

Audits & QI projects

• Carry out routine audits of clinical areas / departments.
• Provide feedback to departments.
• Support and implement QI projects.
• Closure of Non-conformities.
• Quarterly NABH audit are conducted
• To ensure continued compliance to closure submitted in the previous accreditation audit
• Ensure passive and active medical documents audit
• To ensure SLA monitoring.

Quality Assurance

• Management of serious untoward incidents, complaints, issues of poor clinical performance and to promote patient safety.
• RCA of Incident reporting, adverse incidents followed by corrective action and implementation of Preventive action.

Medical Policies and Standards

• Dissemination, Implementation, Training of Organization policies and regular audits.

Clinical indicators and Performance indicator

• To support the development, periodic review and improvement of NABH performance indicators .
• Collation of CQI data along with RCA & CAPA

People Orientation

• To demonstrate professional & courteous behavior to patient & co-workers.

Cost & Revenue

• To operate within budget cost.
• Budget for Quality and Infection control is prepared as per the requirement and expenditure

Discipline

• To be well groomed, punctual & adhere to company policies and practices.